Mountain Peaks Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN PEAKS FAMILY PRACTICE PC

Doing business as

Mountain Peaks Family Practice

Practice address

836 S Townsend Ave Ste a
Montrose, CO 81401-4360

Phone

(970) 615-9120

Fax

(970) 240-1139

NPI assigned

May 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan K Wade

Title

Owner

Phone

(970) 216-6199

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mountain Peaks Family Practice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1831547363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014360",
            "telephone_number": "970-615-9120",
            "fax_number": "970-240-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014360",
            "telephone_number": "970-615-9120",
            "fax_number": "970-240-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAKS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-216-6199"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR:  FECA, BLACK LUNG, ENERGY",
            "identifier": "622111300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50825330",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE PTAN",
            "identifier": "DW8070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Peaks Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony J Morales-Torres, MA
• Alisa M Moreno, RN
• Tiffany Kelley Morford, APRN-FNP
• Suzanne Judith Morris, LMT
• Robert F Motley, M.D.
• Mountain View Cardiology PC
• Mountain West Family Practice PC
• Ahren Danielle Moydell, RDH
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• Jeannie Jo Mueller, PA-C, RD, CDE

• Family Medicine Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.